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Little Tin Soldiers Educational Center
199 East Mercury Boulevard
Hampton, VA 23669
(757) 727-0780

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: Dec. 2, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on December 2, 2015. There were 17 children present upon arrival to the center with 3 staff members. Additional staff arrived and were on site for administrative and support purposes. There is a total enrollment of 31 children. The children were observed napping, reading and having storytime, watching children's programming, and playing freely. Three children's records were reviewed. Two staff records were reviewed. Three medications were reviewed. The outdoor area was not inspected due to inclement weather. The exit interview was conducted with the Program Director.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on record review, in one of two staff records reviewed, the licensee did not ensure that each staff member submits documentation of a negative tuberculosis screening at least 21 days after employment. Evidence: During the inspection conducted on December 2, 2015, the record for Staff #2 (start date-9/8/15) did not include documentation of a TB screening.

Plan of Correction: Staff person will bring in a negative TB screening.

Standard #: 22VAC40-185-60-A
Description: Based on record review, in two of three children's records reviewed, the licensee did not ensure that each child's record was documented with all required information. Evidence: 1. During the inspection conducted on December 2, 2015, the record for Child #1 did not include doucmentation of the child's first date of attendance, the work phone number for one parent and the work phone number and place of employment for a second parent. 2. The record for Child #2 did not include documentation of the place of employment for one parent.

Plan of Correction: I will get the parent to fill out the missing information.

Standard #: 22VAC40-185-70-A
Description: Based on record review, in two of two staff records reviewed, the licensee did not ensure that each staff record was documented with all required information. Evidence: 1. During the inspection conducted on December 2, 2015, the record for Staff #1 did not include documentation that one of two references as to character, reputation and competency were checked before employment. 2. The record for Staff #2 did not include documentation that two references as to character, reputation and competency were checked before employment and documentation of a complete address of a person to be notified in an emergency .

Plan of Correction: I will have the staff persons to bring in references and complete the address.

Standard #: 22VAC40-185-190-B
Description: Based on review, the licensee did not ensure that program directors without management experience shall have one college course in a business-related field, 10 clock hours of management training, or one child care management course that satisfactorily covers the management functions of: *NOTE: Management experience is defined as at least six months of on-the-job training in an administrative position that requires supervising, orienting, training, and scheduling staff. Evidence: During the inspection conducted on December 2, 2015, there was no documentation that the program director had management experience.

Plan of Correction: Owner will be notified and 10 clock hours of management training will be conducted.

Standard #: 22VAC40-185-240-D-4
Description: Based on observation and inspection of the facility, the licensee did not ensure that any child for whom emergency medications have been prescribed shall always be in the care of a staff member who meets the requirements in subdivision 1 of this subsection (medication administration training). Evidence: During the inspection conducted on December 2, 2015, there was a child present who had been prescribed an emergency medication. The medications were present in the center on this date and there was not a staff member present who had received Medication Administration Training.

Plan of Correction: We will have someone MAT trained.

Standard #: 22VAC40-185-260-A
Description: Based on review, the center did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: During the inspection conducted on December 2, 2015, the fire inspection report for the facility had expired and was dated 6/25/14.

Plan of Correction: I am planning to schedule the inspection for this month.

Standard #: 22VAC40-185-280-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. During the inspection conducted on December 2, 2015, the licensing inspector observed a container of disinfectant wipes on a table in the School Age room. The wipes were labeled caution and keep out of reach of children. 2. There was a bottle of bleach water solution in a unlocked closet in the Toddler classroom.

Plan of Correction: The wipes were removed during the inspection. The doors will be locked.

Standard #: 22VAC40-185-350-E-1
Description: Based on observation and inspection of the facility, the licensee did not ensure that there was one staff member for every four children for children from birth to the age of 16 months. Evidence: During the inspection conducted on December 2, 2015, upon arrival to the Infant classroom, there was one staff member (Staff #1) alone with five children.

Plan of Correction: Within five minutes another staff member came into the room which corrected the ratio.

Standard #: 22VAC40-185-510-E
Description: Based on observation and inspection of the facility, the licensee did not ensure that medication had all required labels. Evidence: During the inspection conducted on December 2, 2015, the licensing inspector observed medications that were not labeled with the child's name, the dosage amount and the time or times to be given.

Plan of Correction: Medication will be labeled.

Standard #: 22VAC40-185-510-J
Description: Based on observation and inspection of the facility, the licensee did not ensure that medications were kept in a locked place using a safe locking method that prevented access by children. Evidence: During the inspection conducted on December 2, 2015, the licensing inspector observed three medications on a desk in the main office.

Plan of Correction: The medication will be locked.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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